questions, help needed

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mikey12
New Member


Date Joined Aug 2013
Total Posts : 4
   Posted 12/29/2013 8:41 PM (GMT -6)   
Hello everyone, I know it's a lot to read and if you don't want to, there is a list of questions below.

I have been having reflux issues for the past 6 months or so and have been back and fourth to doctors trying to figure out what is going on. My symptoms started in the mid summer, after I developed a rather bad cough that lasted a week or two. Not sure if they are related at all. My symptoms were really bad in the beginning, I had severe nausea, throat issues and burped constantly, I lost a little over 20 pounds in under 2 months. I tried omeprazole that my doctor prescribed and it made my symptoms worse, I would reflux large amounts into my mouth after eating, and my nausea would get more severe. Is it weird that my reflux is very rarely acidic? I often have very mild tasting reflux.

My current symptoms are excessive burping, and reflux constantly coming up to my upper esophagus (it feels like it is hitting a wall, which i assume is the upper esophageal sphincter, and waits there. It is at a point that I can easily force it up). When I lay on my side and bend up and prop myself on my arm I almost always reflux. I have very little pain.

I was sent to a GI doctor who has made me take all sorts of tests and has been mainly focusing on my gallbladder and the tubes around it. My gallbladder empties a little bit slower than normal too, but not that much. They have found a spot on my scans in my biliary tract and I am now currently awaiting results from another scan that is supposed to look more in depth to find out what it may be.

Anyways I have a handful of questions:
Can my gallbladder or biliary tract be causing reflux this severe? Is it most likely not related?(let's say at least 50 times a day)
Is it weird having reflux that is not very acidic? What could be the cause of this? Sometimes it is acidic, but for the most part it is very mild.
If this is LPR, will it get worse or better as I age?
I seem to have more trouble with raw vegetables that produce gas (brussel sprouts, kale, etc.) than the normal foods that are on the "don't eat this" lists. Does this mean anything?

I will not have insurance soon, so I don't know what I'm going to do as they have been very focused on deciding if I need my gallbladder out or not, but that might not even be the cause of the problems I am facing.
When I tell my GI that the reflux and burping are my biggest complaints and that I am not sure it is the gallbladder, he implies (without saying directly) that it is pretty much all in my head if it isn't the gallbladder. He has mentioned in passing a few times that these things can be caused by depression or anxiety, but I don't think I was depressed or anxious until I started having these particular problems.

If anyone has any insight on my issues and what I should do, any advice or opinions are welcome.

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 12/30/2013 11:14 AM (GMT -6)   
mikey12

Welcome to Healing Well.

There are so many things that could cause your issues besides a bad gall bladder. Plain GERD or LPR, slow emptying stomach, low acid, etc. The tests should point to what is going on though.

LPR and GERD don't usually get better without so type of treatment. Whether it be life style changes, meds, surgery, etc. Anxiety can definitely make things worse as well.

Some people do have issues with PPIs or just certain PPIs. Have you tried any others?

Eating small meals 4 to 6 times a day can help too. This keeps from over filling your stomach and keeps something in there more to use the acid that's produced.
Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

mikey12
New Member


Date Joined Aug 2013
Total Posts : 4
   Posted 12/31/2013 1:34 PM (GMT -6)   
Hello opn,

I haven't tried other PPIs because of how bad the last ones had me feeling.

I got a call today telling me that I have a narrowing in my biliary tract that they want to address. I don't know how that could be causing my symptoms though. Has anyone had any positive effects in their stomach and reflux from having their biliary tract/gallbladder/liver area worked on?

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 12/31/2013 4:27 PM (GMT -6)   
I had some improvement when I had my gallbladder removed, but it had stopped working.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

mikey12
New Member


Date Joined Aug 2013
Total Posts : 4
   Posted 12/31/2013 8:46 PM (GMT -6)   
Thanks opn.

I have been reading a lot about these issues and have a few questions regarding stomach acid. Is there a chance that low stomach acid can cause refluxing? Is low stomach acid (hypochlorydria) a real thing? I ask because when I brought it up to my GI doctor that I felt that HCL supplements helped me and that I thought I might have low stomach acid he told me that there is no way that is possible and told me that HCL supplements are actually very bad for you. Has anyone done real research on low stomach acid or had their doctor mention the possibility of this?

Sorry for all the questions, but thinking about all of this has been taking up a good portion of my last 6 months sadly.

Also, if I reflux so often, why do I not have any pain? I have refluxed into my mouth 10 times in one day and didn't have throat issues that I could notice from it. Does the pain come on gradually?

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1178
   Posted 1/2/2014 6:04 AM (GMT -6)   
Hi

Firstly non acid reflux can occuer just as easily as acid reflux, just depends on the acidity in your stomach at the time. Youre lucky it isnt acidic as many people are in pain from such reflux. If it isnt acidic then there is no need for you to go on PPIs as it will only make things worse. You could try a prokinetic drug, they strengthen the LES and esophagus.

The are plenty of theories about low acidity causing reflud, ive never seen anything concrete but if it helps you to take HCl then I say do it, some people do have success with it. This condition is all about trial and error really, doctors are hopeless if your symptoms are atypical which yours sound like.

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 1/2/2014 10:20 AM (GMT -6)   
mikey12

some people have what is called silent reflux. They don't feel the heartburn, but are refluxing. Yes non acid reflux is real.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11
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